| NPI | 1497051973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3740) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2022-10-24 |