| NPI | 1487102463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2975) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2744) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2022-05-31 |