| NPI | 1174975957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 245533) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 167226) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2018-11-14 |