| NPI | 1205806916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 4829) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 1919) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2026-04-07 |