Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 21134 | MN |
NPI | 1124771712 |
---|---|
Provider Name | Anita Arenson |
First Address | Minneapolis, MN 55486-0086 |
Second Address | Minneapolis, MN 55411-3161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2022 |
Last Update Date | 02/02/2022 |