| NPI | 1124677307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 273239) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 251526) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2022-03-31 |