| NPI | 1063934230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 786-6-1-14-293) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 786-6-1-14) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-10-20 |