NPI | 1134633670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2790) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC20233) |
Enumeration Date | 2017-11-20 |
Last Update Date | 2024-08-13 |