| NPI | 1144913898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451023411) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-02-08 |