| NPI | 1629228200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 161540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1475) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2019-07-18 |