| NPI | 1073944849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02548) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-660) |
| 101Y00000X Counselor (Licence: MN cc02548) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2025-06-26 |