| NPI | 1477646586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00889) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME cc6348) |
| 101YP2500X Counselor, Professional (Licence: FL 136) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401007055) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-08-22 |