| NPI | 1679868236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401006572) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7749) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2011-06-12 |