| NPI | 1992017941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1046) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc01046) |
| 103TC0700X Psychologist, Clinical (Licence: MN 1046) | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2023-12-12 |