| NPI | 1356498901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN MN00915) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 235026) |
| 101YM0800X Counselor, Mental Health (Licence: WI 3846-125) | |
| 101YM0800X Counselor, Mental Health (Licence: MN LPC00915) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-07-21 |