| NPI | 1922424134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1404) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 171216) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2023-07-13 |