| NPI | 1437209319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104114) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 614) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-06-29 |