| NPI | 1699055095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 104769) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY KY-1660) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2023-05-11 |