| NPI | 1861769614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 162784) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2704) |
| 101YP2500X Counselor, Professional (Licence: VA 701013642) | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2025-10-05 |