| NPI | 1578074555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 919-9-1-17-356) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 919-9-1-17A) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2020-02-25 |