| NPI | 1023316874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC000625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 348-3-1-96-108) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2025-08-29 |