| NPI | 1316765324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 04714) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: KS 6267579573) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |