| NPI | 1174891154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC2430) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LPC 2326) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2019-04-10 |