| NPI | 1376016279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 273618) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 242634) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-04-16 |