| NPI | 1558946574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN 2531) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2024-06-19 |