| NPI | 1265565501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401006753) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401006753) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-11-08 |