| NPI | 1164710257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401008607) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401008607) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-04-24 |