| NPI | 1447800651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3335) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 02338) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-03-22 |