| NPI | 1548520273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013620) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66973) |
| 101Y00000X Counselor (Licence: MI 6401013620) | |
| 101YP2500X Counselor, Professional (Licence: WA LH61477470) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2025-12-02 |