| NPI | 1528436912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 260908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 171939) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2019-11-18 |