| NPI | 1891393179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03890) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03702-T) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2022-10-05 |