| NPI | 1740555788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1370) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-1723) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2014-07-28 |