| NPI | 1235644386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MN CC01666) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2024-10-09 |