| NPI | 1902115207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN LPC00738) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2024-05-31 |