| NPI | 1174941223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01445) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2019-06-13 |