| NPI | 1912159898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7421) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401003687) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2012-10-04 |