| NPI | 1497142897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 274177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 240531) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2021-12-09 |