| NPI | 1326269606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0736) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 5336) |
| 101YP2500X Counselor, Professional (Licence: MI 6401007712) | |
| 101YP2500X Counselor, Professional (Licence: 00498) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-10-11 |