| NPI | 1932488640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 170773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1613) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2022-07-27 |