| NPI | 1407157563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 251190) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 376K00000X Nurse's Aide (Licence: KY 50179226) | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2023-09-25 |