| NPI | 1417377698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 3737626782) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LPCP260) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |