| NPI | 1982095147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2759) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2465) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2022-01-14 |