| NPI | 1558810127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015575) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401015575) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2019-03-06 |