| NPI | 1003388398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 2019) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN CC0219) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2022-09-28 |