| NPI | 1710250832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN LPC #01153) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01153) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2019-01-16 |