| NPI | 1073618658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 102124) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 0591) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-11-27 |