| NPI | 1780015636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LP3708) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP3708) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2023-12-07 |