| NPI | 1316031685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc03639) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 3146) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-01-16 |