| NPI | 1447833520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 03960) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: KS 03022) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-11-04 |