| NPI | 1588951826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 0654) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY KY102208) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-07-16 |