| NPI | 1649924200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 02873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: ND 1280-4-15-23A) | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-01-26 |