| NPI | 1801042684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104140) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 0972) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2023-10-25 |