| NPI | 1720665961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 03667) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03733) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-09-09 |