| NPI | 1972057701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 243425) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2022-02-02 |