| NPI | 1891353645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY LSCSW05340) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 11102) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2021-07-06 |