| NPI | 1134698624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 01610) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 24254) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-12-06 |