| NPI | 1972048023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017365) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015843) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2019-06-03 |