| NPI | 1669851234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1301) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01508) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-10-01 |