| NPI | 1992403281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 79064LCPC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 03157LPC) |
| 101YP2500X Counselor, Professional (Licence: MT 55004) | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-10-21 |