| NPI | 1558938407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY LICDC.162533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY S.2106426) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-11-09 |