| NPI | 1659664787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401009910) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2016-12-20 |