| NPI | 1811307150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 127353) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY KY-1738) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2017-02-07 |