| NPI | 1376132415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02093) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 02093) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-02-11 |