| NPI | 1578822458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013654) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011124) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2024-03-06 |