| NPI | 1306217146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 01755) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SD LPC7373) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |