| NPI | 1831740778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019036188) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC04116) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-10-20 |