| NPI | 1376726646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS LCPC 2403) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS LPC1933) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2015-07-23 |