| NPI | 1528115052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 3881219779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 06714) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-07-21 |