| NPI | 1205220316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01609) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-03-19 |