| NPI | 1356411722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401007819) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007819) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-08-31 |