| NPI | 1225465644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00690) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN cc00690) |
| 101YM0800X Counselor, Mental Health (Licence: MN cc00690) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-10-03 |