| NPI | 1003213570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12976) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401002086) |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2020-02-21 |