| NPI | 1144383894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 4531) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 5928) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2024-11-12 |