| NPI | 1881167906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 270809) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 242993) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-05-12 |