| NPI | 1265720049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc00325) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 300589) |
| 101YM0800X Counselor, Mental Health (Licence: MN 57441) | |
| 101YM0800X Counselor, Mental Health (Licence: MN 5464) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |