| NPI | 1609443456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03813) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03813-T) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2025-06-03 |