| NPI | 1457324485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2004036418) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC03135) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-12-26 |