| NPI | 1184453813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LPC04680) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04680) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2025-03-27 |