| NPI | 1508108655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014943) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013589) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-11-05 |