| NPI | 1215243373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1107) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2020-04-03 |