| NPI | 1992064034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 171268) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 171268) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2021-05-04 |