| NPI | 1487290573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4833) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301018097) |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2025-11-07 |