| NPI | 1295137990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401019202) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401017122) |
| 101YP2500X Counselor, Professional (Licence: MI 6401019202) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2022-08-02 |