| NPI | 1144592148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3782) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012878) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2015-07-09 |