| NPI | 1538834403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2958) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 1387-8-1-24) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2025-09-26 |