| NPI | 1447651583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 171549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY LPCA 1867) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2017-02-10 |