| NPI | 1851721591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2032) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11476) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2021-12-08 |