| NPI | 1659253383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MN 3239) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 3239) |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2026-01-02 |