| NPI | 1386065795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 127488) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY KY-1501) |
| 101YM0800X Counselor, Mental Health (Licence: KY 168435) | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2020-09-21 |