| NPI | 1427297761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 165650) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 165650) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2020-06-18 |