| NPI | 1962189563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 30317) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 30317) |
| 101Y00000X Counselor (Licence: MN 30317) | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-06-20 |