NPI | 1104227644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1132-6-15-21A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 914-8-1-17A) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2021-06-16 |