| NPI | 1295104941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc01055) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2021-01-22 |