NPI | 1649638719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 272956) |
Additional Taxonomies | 174H00000X Health Educator (Licence: KY LPCCA00224155) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2021-11-10 |