| NPI | 1023691805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7999) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401225948) |
| 101YP2500X Counselor, Professional (Licence: MI 6451023437) | |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2026-06-03 |