| NPI | 1427642735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 267888) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-03-22 |