| NPI | 1720698897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 279107) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 264077) |
| 101YM0800X Counselor, Mental Health (Licence: KY 279107) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2022-08-24 |