NPI | 1295918654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 554-4-15-06A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 448) |
Enumeration Date | 2007-12-07 |
Last Update Date | 2007-12-07 |