| NPI | 1801497714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MN CC02578) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN CC02578) |
| 103TC1900X Psychologist, Counseling (Licence: MN CC02578) | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2022-10-28 |