| NPI | 1912632118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 1220-7-15-22-598) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1220-7-15-22A) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2025-09-24 |