| NPI | 1558899138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 251985) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 170922) |
| 101YP2500X Counselor, Professional (Licence: KY 251985) | |
| 101YP2500X Counselor, Professional (Licence: KY 170922) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2019-11-07 |