| NPI | 1548658792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 813-12-15-14-352) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 813-12-15-14A) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2021-11-18 |