| NPI | 1689881021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104753) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3063) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-06-18 |