NPI | 1366123077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3891) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc03891) |
Enumeration Date | 2023-07-26 |
Last Update Date | 2023-12-07 |