| NPI | 1265773378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN LPCC1564) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC-6045) |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0588) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2023-08-15 |