| NPI | 1053916429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2763) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-04-21 |