| NPI | 1114324449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2171) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 262913) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2024-01-05 |