| NPI | 1811131071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC00265) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN Y705286783212) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2011-06-07 |