| NPI | 1124736228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 1213-7-1-22-603) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 1213-7-1-22A) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2024-10-23 |