| NPI | 1508669110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2309) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 19278) |
| Enumeration Date | 2025-03-29 |
| Last Update Date | 2025-04-25 |