| NPI | 1760729966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2485) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 2524-5437) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2021-05-27 |