| NPI | 1023713559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 04063) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 22-277) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |