| NPI | 1518343946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01071) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2024-03-29 |