| NPI | 1386810513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 02989) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 096) |
| 101YP2500X Counselor, Professional (Licence: KS 1981) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2021-06-28 |