| NPI | 1144619859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 818-1-15-15) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 81811515A) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2024-03-08 |