| NPI | 1184221293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223060) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018688) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2022-10-28 |