| NPI | 1073990800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1257-12-15-22-508) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2381) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 605) | |
| 101YP2500X Counselor, Professional (Licence: MN 3673) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2026-01-20 |