| NPI | 1780630756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 104016) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 1121) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-01-29 |