| NPI | 1922336023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY KY-0895) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2011-07-19 |