| NPI | 1730510454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1599) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 1599) |
| 101YP2500X Counselor, Professional (Licence: KY 1599) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2023-10-19 |