| NPI | 1023495116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 172181) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 1797) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2022-09-19 |