| NPI | 1033808696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MN 2965) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 7328-226) |
| 101Y00000X Counselor (Licence: MI 6401224265) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-04-06 |