| NPI | 1831962430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ND 1317-8-1-23A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN 3043) |
| 101YP2500X Counselor Professional | |
| 101YP2500X Counselor Professional (Licence: ND 1317-8-1-23A) | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-08-01 |