| NPI | 1992733349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 103557) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1532) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-07-18 |