| NPI | 1174759773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN 1269) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2025-01-09 |