| NPI | 1114051083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 104452) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 114589) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-07-18 |