| NPI | 1649719998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 246796) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 172225) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-03-11 |