| NPI | 1598164907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 957-6-15-18-317) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 10979) |
| 101YP2500X Counselor, Professional (Licence: ND 957-6-15-18-317) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2023-12-04 |