| NPI | 1790820280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc00101) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN cc00101) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-11-09 |