| NPI | 1053466888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 103853) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 1025) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-12-17 |