| NPI | 1225413818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401010293) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401010293) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2018-09-11 |