| NPI | 1164943122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-12-13 |