| NPI | 1750258364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MN 1790017721) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 1992903991) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |