| NPI | 1194250837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017183) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015770) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-04-17 |