| NPI | 1841686896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14903) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc00674) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2019-07-02 |