| NPI | 1588999346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-18251) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY PROCOUPCC00211342) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2019-12-05 |