| NPI | 1437522984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2984) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01757) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2021-09-02 |