| NPI | 1639225931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6801088735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 44sc05239100) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |