| NPI | 1114106358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 6401006806) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: MI 6401006806) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-27 |