| NPI | 1952756033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 261125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 165435) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2020-08-06 |