| NPI | 1962038596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4824) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2025-01-30 |