| NPI | 1477992766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY LPCPCC00218310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1600041) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2021-07-29 |