| NPI | 1366788663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3667) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 58361507201) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2023-11-25 |