| NPI | 1487139887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 3310) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 3310) |
| 101YP2500X Counselor Professional (Licence: KS 3310) | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |