| NPI | 1689026155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01277) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 1277) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-01-17 |