| NPI | 1679224257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 277285) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 260760) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-02-13 |