| NPI | 1184920761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011798) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401011798) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2021-04-01 |