| NPI | 1114767977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451023585) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000001155536) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |