| NPI | 1922385889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 01546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 561101506) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2022-07-21 |