| NPI | 1144642745 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01392)  | 
| Enumeration Date | 2014-01-16 | 
| Last Update Date | 2024-10-07 |