| NPI | 1780223867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 274891) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 261678) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2025-02-14 |