| NPI | 1356710669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 260205) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY LPCCCA00220350) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2019-11-01 |