| NPI | 1033413208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 1223) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 2921) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |