| NPI | 1801272323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R1514090) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 1045) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |