| NPI | 1124376611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 1148) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ND 907-7-15-17) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2019-09-26 |