| NPI | 1386795508 |
|---|---|
| Former Name | SANDRA KAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 1719) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 1719) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-02-26 |