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 | 2025-02-18 |