| NPI | 1881782530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN CC00369) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN 00257) |
| 101YP2500X Counselor Professional (Licence: MN CC00369) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-08-12 |