| NPI | 1922582394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401016458) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: AR 00116005) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |