| NPI | 1356049688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016016851) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC03077) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |