| NPI | 1518539139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC04111) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LPC03918) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2026-07-13 |