| NPI | 1245711738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03969) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2425) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2025-04-09 |