| NPI | 1811414857 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 912-8-1-17-360)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 912-8-1-17A)  | 
| Enumeration Date | 2017-08-29 | 
| Last Update Date | 2024-11-26 |