| NPI | 1225676596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: MI 6401018399) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-01-19 |