NPI | 1851922835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1311-7-15-23-533) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17075) |
101YP2500X Counselor, Professional (Licence: MN cc03928) | |
Enumeration Date | 2020-01-29 |
Last Update Date | 2023-08-02 |