| NPI | 1578171161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 289726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 262186) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-01-22 |