| NPI | 1568013118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2198) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 2198) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-01-07 |