| NPI | 1982207353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019045708) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC03876) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2026-06-08 |