| NPI | 1710692678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 04351) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03215) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-05-14 |