| NPI | 1255830337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 275992) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 9373) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-03-02 |