| NPI | 1295296564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02433) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4241-125) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-05-09 |