| NPI | 1518294032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302710) |
| 101YP2500X Counselor, Professional (Licence: MN 2810) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH22660) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 012189) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2026-07-13 |