| NPI | 1689728255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68084) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007652) |
| 101YP2500X Counselor, Professional (Licence: MO 2007021398) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-06-18 |