| NPI | 1942013610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY LPCA.297663) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0022221) |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-06-08 |