| NPI | 1013451657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc01371) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2021-06-24 |