| NPI | 1750874335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 496-9-15-03-400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 496-9-15-03) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2021-05-25 |