| NPI | 1700558277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 3028) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN 3028) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-03-25 |