| NPI | 1194227439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018844) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014612) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2023-08-15 |