| NPI | 1295079689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401013085) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2018-07-16 |