| NPI | 1215634076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225481) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451022808) |
| 247200000X Technician, Other | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-08-28 |