| NPI | 1891018669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 170811) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0989) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2016-12-27 |