| NPI | 1447395629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ND 2841) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 11721) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |