| NPI | 1457592875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 241206) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 241206) |
| 101Y00000X Counselor (Licence: KY 241206) | |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2024-11-06 |