| NPI | 1144772781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3848) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0015016) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2025-12-18 |