| NPI | 1346541596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401010878) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401010878) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2018-10-01 |