| NPI | 1245621507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010236) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: MI 4704247001) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2016-10-21 |