| NPI | 1568200962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3112) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 21052) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2025-06-05 |