| NPI | 1538724174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 278372) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 246571) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2022-11-21 |