| NPI | 1336969658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 295585) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 266709) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-23 |