| NPI | 1831587062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00868) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 868) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2024-01-17 |