| NPI | 1457741597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 172273) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY LPCCCA00216535) |
| 101YP2500X Counselor, Professional (Licence: KY 162650) | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2017-02-28 |