| NPI | 1073089355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 979-10-15-18-406) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 979-10-15-18A) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2021-01-08 |