| NPI | 1942190475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 05091-T) |
| 101YM0800X Counselor, Mental Health (Licence: KS 05212) | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-10-09 |