| NPI | 1063742070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc00082) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 82) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2019-06-11 |