| NPI | 1942666094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 242158) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 164690) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2020-03-24 |