| NPI | 1972854123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0187131) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013098) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2024-02-08 |