| NPI | 1922886779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 30822) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 30822) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |