| NPI | 1043787633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451016912) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016912) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2021-07-27 |