| NPI | 1750260469 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1485-9-1-25A)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 3195)  | 
| Enumeration Date | 2025-08-27 | 
| Last Update Date | 2025-09-15 |