| NPI | 1598517252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc04401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 02469) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-11-06 |