| NPI | 1003165119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 259970) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 259970) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2022-09-21 |