| NPI | 1265107650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2940) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88472) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-01-10 |