| NPI | 1902452113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 245619) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 245619) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2024-11-08 |