| NPI | 1346873148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 247776) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2022-05-18 |