| NPI | 1922155019 |
|---|---|
| Former Name | LETITIA CUNDIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 104788) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0325) |
| 101YM0800X Counselor, Mental Health (Licence: KY KY-0325) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-06-02 |