NPI | 1811228075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 630-3-15-09-316) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ND 630-3-15-09A) |
Enumeration Date | 2010-01-27 |
Last Update Date | 2020-02-14 |