| NPI | 1104042548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009035) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401009035) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-07-15 |