| NPI | 1841505393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC2428) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: AR P1312113) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2025-08-06 |