| NPI | 1568561389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 16076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 16076) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-04-30 |