| NPI | 1619557543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02805) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 2805) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |