| NPI | 1457697385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013197) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013197) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2022-12-28 |