NPI | 1518444363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 936-2-1-18A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 936-2-1-18A) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2021-12-13 |