| NPI | 1265783294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 163058) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2024-03-20 |