| NPI | 1811433741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN 356) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN CC00356) |
| 103TC0700X Psychologist Clinical (Licence: MN 356) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2023-12-12 |