| NPI | 1326193160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104270) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1034) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-12-15 |