| NPI | 1508154600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3507) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012024769) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2025-04-27 |