| NPI | 1891175824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 106172-1) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-08-04 |