| NPI | 1558842641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 122981522) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: SD LPC20608) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2023-03-08 |