| NPI | 1780906024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00860) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 00032) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |