| NPI | 1356775951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 102984) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1609) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2016-06-02 |