| NPI | 1477297778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 304-1-1-95-323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 304-1-1-95-323) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2024-01-07 |