| NPI | 1841697497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 3029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2728) |
| 101YP2500X Counselor, Professional (Licence: MO 2014001612) | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2022-03-30 |