| NPI | 1861845620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 167756) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 161492) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2022-08-31 |