| NPI | 1235738980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03843) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03718-T) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2021-07-22 |