| NPI | 1821119686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 104291) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-1336) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-01-30 |