| NPI | 1134881014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451009597) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401009597) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-10-22 |