| NPI | 1154898351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN CC09135) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN CC01935) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2020-05-19 |