| NPI | 1699234849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 293285) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 264085) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-02-11 |