| NPI | 1790177152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 260636) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2964) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2024-08-26 |