| NPI | 1346653896 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 937-2-1-18-404) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1704) | 
| 101YP2500X Counselor, Professional (Licence: ND 937-2-1-18) | |
| 101YS0200X Counselor, School (Licence: ND 425810) | |
| Enumeration Date | 2014-06-03 | 
| Last Update Date | 2020-12-09 |