| NPI | 1609335256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2932) |
| 101YP2500X Counselor, Professional (Licence: WI 10248-125) | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2023-03-01 |