| NPI | 1083167258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 281300) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 242648) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2022-12-01 |