| NPI | 1376863647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 622-1-1-09-213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 622-1-1-09-213) |
| 101YP2500X Counselor, Professional (Licence: MN cc02846) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-01-05 |