| NPI | 1508330242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 274604) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 174456) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-04-21 |