| NPI | 1356717425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2751) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 2751) |
| 101YM0800X Counselor, Mental Health (Licence: KS 2751) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2022-07-21 |