| NPI | 1588056162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 975) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-03-28 |