| NPI | 1124643531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451019632) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2020009341) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-10-08 |