| NPI | 1588495451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MN 1031410) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |