| NPI | 1609026244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY1114) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5463) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2015-11-06 |