| NPI | 1386044295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY-1006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1006) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2022-01-04 |