NPI | 1083216675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2643) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2643) |
Enumeration Date | 2020-11-10 |
Last Update Date | 2023-04-13 |