| NPI | 1326437021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 1575) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN 1551) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2020-02-20 |