| NPI | 1750925830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 294205) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 273088) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2024-08-26 |