| NPI | 1336418730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LPCC2804) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2025-04-07 |