| NPI | 1225687999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC02253) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN CC02253) |
| 101Y00000X Counselor (Licence: WI 5877-125) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: WI 5877-125) | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-01-24 |