| NPI | 1518323419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 03032) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 2493) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2024-04-29 |