| NPI | 1073966214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014977) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401014977) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2025-03-24 |