| NPI | 1134317175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00322) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00051475) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2013-03-18 |