| NPI | 1417969510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 000217) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2012-02-17 |