| NPI | 1538805247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 03848) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 3581) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-10-31 |