| NPI | 1093279887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 275597) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 246281) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2022-01-28 |