NPI | 1407109036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014492) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0800496) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2015-08-13 |