| NPI | 1235540550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014718) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional (Licence: MI 6401014718) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2021-07-13 |