| NPI | 1730505249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1168724) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 1843) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2021-12-06 |