| NPI | 1477748473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 274046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY KY-0494) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2022-11-02 |