| NPI | 1437778347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN 2283) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ND 1058-4-1-20) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2022-10-07 |