| NPI | 1417553678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2606055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LPC-MN-342) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2026-02-20 |