| NPI | 1861823825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401019372) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401019372) |
| 101YP2500X Counselor, Professional (Licence: MI 6401010376) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-10-07 |