| NPI | 1013691039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401226122) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451022993) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2026-05-05 |