| NPI | 1487473336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS 04753-T) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 04753) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |