| NPI | 1700398450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 103496) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 103496) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2025-07-18 |