| NPI | 1306583471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 289888) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 274624) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-01-23 |