| NPI | 1265108625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02894) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 2894) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-07-16 |