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 |