| NPI | 1336224922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 3520125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401007702) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2026-04-10 |