| NPI | 1356930960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4253) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH25039) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2025-11-20 |