| NPI | 1992259402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 269446) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 168628) |
| 101YM0800X Counselor, Mental Health (Licence: KY 168628) | |
| 101YP2500X Counselor, Professional (Licence: KY 269446) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-03-29 |