| NPI | 1437383056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN CC00274) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN LPC00746) |
| 101YM0800X Counselor Mental Health (Licence: ND 696-8-1-11) | |
| 101YM0800X Counselor Mental Health (Licence: SD LPC7181) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2012-06-04 |