| NPI | 1851541833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 103017) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0934) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2023-05-12 |