| NPI | 1477887065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1189) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 0921) |
| 101YP2500X Counselor, Professional (Licence: KY 104437) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2024-01-29 |