| NPI | 1659983419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 1435-5-1-25-632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 03468) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2026-07-15 |