| NPI | 1265559538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 0083) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 83) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-01-01 |