| NPI | 1790094886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401012386) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 3728) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2016-12-10 |