| NPI | 1942979216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc02996) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701010477) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-10-19 |