| NPI | 1770175358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 995-3-1-19-510) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2025-07-22 |