| NPI | 1144989492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc03142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1865) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-02-05 |