| 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 |