| NPI | 1568078525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 293283) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 3034) |
| 101YP2500X Counselor, Professional (Licence: NV CP6276-R) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2026-04-15 |