| NPI | 1356444574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 163209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2382) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-11-09 |