| NPI | 1285061044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS LCPC-2496) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2547) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2022-07-21 |