| NPI | 1710637079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc03235) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-08-10 |