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 |