| NPI | 1528209145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104721) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1077) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2023-11-13 |