| NPI | 1053789172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017892) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017892) |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2024-05-13 |