| NPI | 1326575903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2359) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 02004) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2020-01-16 |