| NPI | 1356746358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LPCC 883) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LPC 1443) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2018-09-26 |