NPI | 1639711641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02260) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 2260) |
Enumeration Date | 2019-10-10 |
Last Update Date | 2023-09-18 |