| NPI | 1225463318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2580) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2552) |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2021-04-23 |