NPI | 1730731316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN CC02197) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MN 2197) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2021-11-08 |