| NPI | 1225450323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 163094) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2019-05-28 |