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 |