Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 01247 | MN |
N | 101YS0200X | School Counselor | 460316 | MN |
NPI | 1255685186 |
---|---|
Provider Name | Danya M Espinosa |
First Address | Winona, MN 55987-5532 |
Second Address | Winona, MN 55987-5532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2012 |
Last Update Date | 30/10/2012 |