| NPI | 1629272315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3460) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401000447) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |