| NPI | 1184004632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014710) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014710) |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2018-09-01 |