| NPI | 1508137480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01746) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 706-1-1-12) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2021-10-27 |