| NPI | 1013314061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225433) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007649) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2025-09-15 |