| NPI | 1962894261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 728) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc00728) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2017-03-02 |