| NPI | 1437775566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 263635) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: KY 263635) |
| 101YP2500X Counselor Professional (Licence: KY 263635) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-05-26 |