| NPI | 1134766561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 963-15-18-339) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN 1431) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2022-05-25 |