| NPI | 1134565278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 856226) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2023-07-18 |