| NPI | 1033598420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018294) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014785) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2020-05-08 |