| NPI | 1821423740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 944) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2024-02-13 |