| NPI | 1548791205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 247116) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 166193) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2019-03-13 |