| NPI | 1730486713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401016525) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1700) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2018-11-15 |