| NPI | 1578245676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 13243) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 13243) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-03-17 |