| NPI | 1740556414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ND 586-7-15-07-455) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ND 586-7-15-07) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-05-21 |