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 |