| NPI | 1275605388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MN 1363) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN 1363) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-08-09 |