| NPI | 1487757787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2466) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 0360) |
| 101YP2500X Counselor, Professional (Licence: NC 8145S) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-07-15 |