| NPI | 1326525015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 11423-125) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-01-27 |