| NPI | 1073167235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018845) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016693) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2020-12-03 |