| NPI | 1356830525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014813) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MI 00117938) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |