| NPI | 1194880575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 3586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 3582) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2006019755) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-04-29 |