| NPI | 1811309305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 290812) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 439853) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2024-03-28 |