| NPI | 1487785069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN MN LPCC 00588) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3776-125) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2021-05-25 |