| NPI | 1043455819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 00335) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN LPC00664) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2021-08-20 |