NPI | 1033493390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 657) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01119) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2022-02-01 |