| NPI | 1740522721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2506) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 2487) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2019-06-19 |