| NPI | 1548520273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013620) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013620) |
| 101YP2500X Counselor, Professional (Licence: TX 66973) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-08-01 |