| NPI | 1174707566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MN 00117) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ND 25811117) |
| 101Y00000X Counselor (Licence: 30474) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2014-07-21 |