| NPI | 1467982512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LPCC3270) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009499) |
| 101YP2500X Counselor, Professional (Licence: MN LPCC3270) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-07-11 |