| NPI | 1679201693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1332-11-1-23A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 2720) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2023-11-09 |