| NPI | 1396138517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 001314) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01665) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2022-04-15 |