| NPI | 1063156578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SD LPC20605) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 02492) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-02-28 |