| NPI | 1932388618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 103074) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1492) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2023-12-01 |