| NPI | 1407586217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3619) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 304972) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-01-17 |