| NPI | 1578250742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 833-6-1-15-311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 833-6-1-15-311) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-20 |