| NPI | 1023483815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014301) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401014301) |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2020-09-03 |