NPI | 1497310940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 976-9-1-18) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 976-9-1-18A) |
Enumeration Date | 2019-05-09 |
Last Update Date | 2023-02-01 |