| NPI | 1538649595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1891) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-12-30 |