| NPI | 1992274989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN CC02135) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.012950) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2019-06-11 |