| NPI | 1487285920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc03624) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 305519) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2024-09-13 |