| NPI | 1154988509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401019166) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016673) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-06-14 |