| NPI | 1528245032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN lp3704) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 3704) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2023-12-20 |