| NPI | 1356687933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013261) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 00108286) |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2013-09-24 |