| NPI | 1386406320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 04097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2022033962) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2025-10-15 |