| NPI | 1871141077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc05085) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AK 121549) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-08-27 |