| NPI | 1851483929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 105701) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 405) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-07-01 |