| NPI | 1669987004 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 934-1-1-18-403)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2017-12-07 | 
| Last Update Date | 2020-11-18 |