| NPI | 1457684839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 246522) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 0768) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2021-11-18 |