| NPI | 1811243298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017060) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013155) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2019-09-04 |