| NPI | 1255157160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 13138123657) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc04927) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-11-24 |