| NPI | 1497007843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY LPCPCC00218333) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 1467) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2015-08-27 |