| NPI | 1558600908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 103165) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 1316) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2022-07-21 |