| NPI | 1437623477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02018) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3383-125) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2019-01-13 |