| NPI | 1396310546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2834) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 02834) |
| 101YM0800X Counselor, Mental Health (Licence: ND 1289-6-1-23A) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2023-11-20 |