| NPI | 1477734739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 164569) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 0946) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2022-03-10 |