| NPI | 1891923538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional (Licence: MN LPC00780) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-06-07 |