| NPI | 1932569308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 242157) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY LPCCCA00225103) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2018-05-31 |