| NPI | 1174847826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 2437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS TLPC) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2022-06-06 |