| NPI | 1093055634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC00726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01220) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2019-07-01 |