| NPI | 1104389550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 999-3-15-19-417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 999-3-15-19A) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-03-22 |