| NPI | 1518465178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 642-9-1-09-225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 642-9-1-09-225) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-05-01 |