| NPI | 1457584732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011503) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401011503) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2018-08-21 |