| NPI | 1619655776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 02848) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MN 1003602) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |