| NPI | 1568738094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011447) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011526) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2013-06-06 |