| NPI | 1871621847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011062) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 2147) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-12-04 |