| NPI | 1407360324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 263801) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 174979) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2020-05-18 |