| NPI | 1073934295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017231) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014006) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2024-03-06 |