| 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 |