| NPI | 1265932800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01684) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 1684) |
| 101YM0800X Counselor, Mental Health (Licence: MN cc01684) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-12-19 |