| NPI | 1619278561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY LPCC260702) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10484) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2022-02-02 |