| NPI | 1952773236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 172150) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY PROCOUCCA00214631) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2019-04-02 |