| NPI | 1417609793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 270680) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2025-01-15 |