| NPI | 1841505120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS LPC04477) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-59936-051) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2024-02-08 |