| NPI | 1811346794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 246308) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 167906) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2022-11-21 |