| NPI | 1215578323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 22561) |
| 101YP2500X Counselor, Professional (Licence: MN 25561) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |