| NPI | 1720774045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1216-7-15-22-588) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 1216-7-15-22A) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-08-14 |