| NPI | 1194338863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS 03767) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 3632) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-05-12 |