| NPI | 1871920405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc00604) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC15155) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2024-10-18 |