| NPI | 1225291370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010527) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI 246463) |
| 101YP2500X Counselor, Professional (Licence: MI L1332361) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-06-05 |