| NPI | 1639437601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 105799) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1396) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-04-09 |