| NPI | 1104320779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 288209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 172500) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-09-05 |