| NPI | 1700969227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND LPCC 5158104158) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ND 515-8-1-04-158) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-02-13 |