| NPI | 1275665168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 143614) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8532) |
| 101YP2500X Counselor, Professional (Licence: NC 14493) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401008535) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-05-26 |