| NPI | 1437527017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014575) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2017-01-31 |