| NPI | 1073835047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 1599) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 4339-125) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2016-06-17 |