| NPI | 1407156771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1710) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 3514) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2014-06-16 |