| NPI | 1730575176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 241210) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY LPCCCA00218255) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2018-07-03 |