| NPI | 1780963033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00222212) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2021-03-11 |