| NPI | 1457113060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03286) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 03286) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-06-04 |