| NPI | 1639573942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01332) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01555) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2018-03-17 |