| NPI | 1912644766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3830) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2025-03-03 |