| NPI | 1891740635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 2007-67) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 0051) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-10-22 |