| NPI | 1669027173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 275966) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 248636) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2022-03-23 |