| NPI | 1366981235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03264) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 2948) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2022-07-14 |