| NPI | 1962835777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc00794) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 284917) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2022-04-01 |