| NPI | 1083851810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012160) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E5577) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2024-02-27 |