| NPI | 1275073439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01468) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-07-03 |