| NPI | 1598384133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 270408) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2021-05-24 |