| NPI | 1780972729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1688) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 1255) |
| 101Y00000X Counselor (Licence: KY 1688) | |
| 101YP2500X Counselor, Professional (Licence: KY 1255) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2015-10-21 |