NPI | 1861045437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 3311) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2019-07-22 |
Last Update Date | 2022-05-05 |