| NPI | 1609257112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01002) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN cc01002) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-04-17 |