| NPI | 1982109930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 739-11-15-12-299) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPCMH30760) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2026-02-10 |