Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 430850 | MN |
NPI | 1033734504 |
---|---|
Provider Name | Emily Nelson |
First Address | Saint Paul, MN 55105-3235 |
Second Address | Savage, MN 55378-2131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2020 |
Last Update Date | 10/06/2020 |