| NPI | 1477758845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 462-6-15-01-154) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc00699) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2026-01-02 |