| NPI | 1508102427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 163110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY LPCCCA00218288) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2025-02-18 |