| NPI | 1235664590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2573) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-09-27 |