| NPI | 1700207057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 104056) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 104056) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2024-01-24 |