| NPI | 1194947721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY ky-0590) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0017090) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-10-16 |