| NPI | 1154746212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 774-3-1-14-355) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 774-3-1-14) |
| 101YP2500X Counselor Professional (Licence: ND 774-3-1-14A) | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2024-03-13 |