| NPI | 1841811296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN cc02229) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2229) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2025-07-22 |