| NPI | 1922365303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 127499) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2022-07-21 |