| NPI | 1437772704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN CC03911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0013286) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2026-04-17 |