| NPI | 1396464129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1100-12-1-20A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1100-12-1-20-530) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-08-08 |