| NPI | 1154726156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 173163) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2014038562) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2020-08-25 |