| NPI | 1629380332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223851) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011298) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2024-03-01 |