| NPI | 1487108858 |
|---|---|
| Former Name | ANDREA S RUDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 02513) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 6902-125) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-10-09 |