| NPI | 1598281974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 286135) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 172800) |
| 101YM0800X Counselor, Mental Health (Licence: KY 174160) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2023-06-19 |