| NPI | 1144519646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1523) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-1135) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2013-11-13 |