| NPI | 1821416868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0017422) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012978) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2020-04-28 |