| NPI | 1568016798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 252098) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 252098) |
| 101Y00000X Counselor (Licence: KY 252098) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2021-05-18 |