| NPI | 1497833651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00081) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3401-125) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-01-22 |