| NPI | 1346545506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 3029) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 10165-125) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2024-08-22 |