| NPI | 1144764341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224450) |
| Additional Taxonomies | 247200000X Technician, Other |
| 101Y00000X Counselor (Licence: MI 6451018854) | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2024-07-10 |