| NPI | 1811394794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc03692) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc03692) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2026-02-06 |