| NPI | 1992362032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 252082) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 252082) |
| 101YM0800X Counselor, Mental Health (Licence: KY 164560) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-03-11 |