| NPI | 1487916243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY LPCPCC00223774) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2021-11-03 |