| NPI | 1457854663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 282343) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2404289) |
| 101YP2500X Counselor, Professional (Licence: KY 240040) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-07-17 |