| NPI | 1215351036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014031) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 0000003057) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |