| NPI | 1760959159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 3371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 3321) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2020-07-24 |