| NPI | 1043674807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401017120) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 2267120336) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-06-22 |