| NPI | 1881145779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 890-10-15-16-361) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 890-10-15-16A) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2023-10-24 |