| NPI | 1518478221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 272076) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 173364) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2021-11-29 |