| NPI | 1811548621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 272300) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 252540) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2024-09-03 |