| NPI | 1972016954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016045135) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC03145) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2026-01-21 |