| NPI | 1770039547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MN 3216) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 1636) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-06-02 |