| NPI | 1326798356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018036515) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC03520) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-08-07 |