| NPI | 1639313539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 4244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN AP09-524) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2020-05-06 |