| NPI | 1457607442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 104782) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 0225) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-11-03 |