| NPI | 1225500937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc04730) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2025-07-23 |