| NPI | 1083986079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011115) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI 002318) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |