NPI | 1740769496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 964-7-15-18-410) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 964-7-15-18A) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2022-02-17 |