| NPI | 1376088021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 287775) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 246478) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2023-10-23 |