| 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 |