| NPI | 1275351207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS LCPC03904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2023050858) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-02-11 |