| NPI | 1063652865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009524) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2014-03-25 |