| NPI | 1255157160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 13138123A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 02854) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-01-08 |