| NPI | 1134745532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 264463) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 264463) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-07-08 |