NPI | 1245936517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02887) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MN cc02887) |
101YM0800X Counselor, Mental Health (Licence: MN cc02887) | |
Enumeration Date | 2023-02-07 |
Last Update Date | 2023-02-07 |