| NPI | 1801028360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2930) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010544) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2024-02-07 |