| NPI | 1245797257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015811) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2022-09-30 |