| NPI | 1063948263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1005-5-15-19) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 1005-5-15-19) |
| 101YM0800X Counselor, Mental Health (Licence: MN cc01782) | |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2020-03-18 |