| NPI | 1467789917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 163130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8868) |
| 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00218312) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2024-08-21 |