| NPI | 1659611473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1087) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 215064) |
| 101YM0800X Counselor, Mental Health (Licence: KY 1087) | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2020-08-07 |