| NPI | 1609973759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY-1167) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 3131) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-09-04 |