| NPI | 1205473998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 286315) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 267932) |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2023-11-20 |