| NPI | 1760220974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 23286) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2024-07-20 |