| NPI | 1467794750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 105836) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1392) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2019-01-29 |