| NPI | 1558701581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 166996) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY LPCPCC00223151) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2022-07-21 |