| NPI | 1831644483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: KY 270704) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-05-10 |