| NPI | 1891001970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401009500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 1371973) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-10-18 |