| NPI | 1154981421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 28699) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-10-11 |