| NPI | 1225774599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC03894) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0859) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-05-30 |