| NPI | 1407524366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 4284) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ND 1153-9-1-21A) |
| 101YM0800X Counselor, Mental Health (Licence: ND 1153-9-1-21-631) | |
| 101YP2500X Counselor, Professional (Licence: ND 1153-9-1-21A) | |
| 101YM0800X Counselor, Mental Health (Licence: ND 1153-9-1-21A) | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2026-02-19 |