| NPI | 1497392666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc02305) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-694) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2024-06-01 |