| NPI | 1811431646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 245954) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 165429) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2024-01-18 |