| NPI | 1346083656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2969) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23857) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-24 |