| NPI | 1093203721 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1217-7-15-22A)  | 
| Additional Taxonomies | 247200000X Technician, Other | 
| Enumeration Date | 2018-04-27 | 
| Last Update Date | 2022-09-01 |