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 |