| NPI | 1679156780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 02705) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MN 502447) |
| 101YS0200X Counselor, School (Licence: MN 947737) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |