| NPI | 1326275645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC00150) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN LPC00773) |
| 101YP2500X Counselor, Professional (Licence: IL 180006172) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2010-05-26 |