| NPI | 1154877603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2700) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 073) |
| 101YP2500X Counselor, Professional (Licence: KS 2985) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2024-04-15 |