| NPI | 1023852837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4139) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7944) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |