| NPI | 1558915421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 9036117378) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 9036117) |
| 101YP2500X Counselor, Professional (Licence: MN 02775) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-08-02 |