| NPI | 1477894285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 983-11-15-18-401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 02450) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2021-07-16 |