| NPI | 1679746903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001807) |
| 101YP2500X Counselor, Professional (Licence: GA 005601) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2013-02-27 |