| NPI | 1952685901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 104750) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 104750) |
| 101YP2500X Counselor, Professional (Licence: KY 1279) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2024-01-26 |