| NPI | 1215117825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2002021) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010560) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2021-02-16 |