| NPI | 1922652551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03442) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 3467) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-05-09 |