| NPI | 1043599533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 148217) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY LPCPCC00195367) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2016-06-02 |