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 |