| NPI | 1114370871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87199) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016546) |
| 101YP2500X Counselor, Professional | |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-04-03 |