| NPI | 1538477328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009532) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-02-28 |