| NPI | 1730565144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01649) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009052) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2018-03-17 |