| NPI | 1013322601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 1209-7-1-22A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 174400000X Specialist | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-22 |