| NPI | 1336801158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4279) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 10359) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2024-02-01 |