| NPI | 1417587262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 03317) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 3556) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2023-10-02 |