| NPI | 1194121137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1244) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 102205) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2026-02-25 |