NPI | 1518721919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02646) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 305414) |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-02-07 |