| NPI | 1134379878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 908) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 0908) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2014-01-15 |