| NPI | 1336459007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC00339) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN LPC00528) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2015-04-10 |