| NPI | 1952158628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS LPC04867) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2024049245) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2026-06-25 |