| NPI | 1942891841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc02648) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 2648) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2023-12-12 |