| NPI | 1508542358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LPC04508) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04361-T) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-06-03 |