| NPI | 1649993387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 3509) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc03509) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-06-05 |