| NPI | 1972090322 |
|---|---|
| Professional Name | NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 296263) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2026-04-29 |