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 |