| NPI | 1538204706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 327-8-1-95-93) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN 00154) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-01-11 |