| NPI | 1619325297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1008-5-15-19A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 1008-5-15-19A) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-11-04 |