NPI | 1124116843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ND 442-4-1-00-159) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ND 442-4-1-00-159) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2018-03-17 |