| NPI | 1932073798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 05210) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 05210) |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2026-02-25 |