| NPI | 1780952481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1073) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 1122) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2025-07-15 |