| NPI | 1467049718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 291827) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 291827) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2024-05-03 |