| NPI | 1558789768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN 101YM0800X) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 101Y00000X) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-09 |