| NPI | 1790220184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 2910) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 2910) |
| 101Y00000X Counselor (Licence: KS 2910) | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2024-01-12 |