| NPI | 1073148185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019251) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017184) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2021-10-31 |