| NPI | 1992251151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1601) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 11427191-6004) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2020-09-22 |