| NPI | 1700460359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03928) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03803) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2023-01-31 |