| NPI | 1548640956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 835-6-1-15-313) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 835-6-1-15A) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2021-02-02 |