NPI | 1568834372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 166828) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY LPCCCA00222153) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2016-05-27 |