| NPI | 1942658695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 297709) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 297709) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2025-09-08 |