NPI | 1760938716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 3052) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3052) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2024-09-11 |