| NPI | 1770094229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1023-9-1-19-402) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 3138) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2024-09-09 |