| NPI | 1780314237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC03919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: KS LCPC03919) | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-04-01 |