| NPI | 1720699077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2561) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2026-05-27 |