| NPI | 1922547454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 3032) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: MN 02311) | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2021-10-05 |