| NPI | 1508589474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc03563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 02603) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-10-09 |