| NPI | 1356318836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC 763) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2001019277) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2011-02-07 |