| NPI | 1477947901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012139) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401012139) |
| 101YS0200X Counselor School (Licence: MI IF0000000335965) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-08-15 |