| NPI | 1629548342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 266411) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 172081) |
| 101YM0800X Counselor, Mental Health (Licence: KY 172081) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2024-07-24 |