| NPI | 1013974914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-12932) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401007883) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-04-23 |